Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1994
NPI: 1033157912
Practice Locations (1)
CITY MEDICAL OF UPPER EAST SIDE PLLC
5 PENN PLZ
NEW YORK, NY 100011810
6466471249
Source: CMS National Downloadable File, September 2026.